Organization
NICOLE TIEDT, LICENSED PROFESSIONAL CLINICAL COUNSELOR, P.C.
Active
Other names
Thriving Minds Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE TIEDT LPCC (OWNER/THERAPIST)
(951) 254-7032
Entity
Organization
Contact information
Practice address
41593 WINCHESTER RD STE 200, TEMECULA, CA 92590-4857
(951) 254-7032
Mailing address
41593 WINCHESTER RD STE 200, TEMECULA, CA 92590-4857
(951) 254-7032
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/21/2021
Last updated
04/24/2021
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